Individual
MRS. JENNIFER SMITH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
916 BROAD ST, DURHAM, NC 27705-4142
(919) 949-3302
Mailing address
2 CANARY CT, DURHAM, NC 27713-6591
(919) 251-8265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2791
NC
Other
Enumeration date
08/05/2006
Last updated
09/06/2012
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